| NPI | 1285810457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00036555) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC10047901) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-30 |